REPRESENTING: (FIRM NAME)                   

MAILING ADDRESS:                    

CITY, STATE, ZIP:                          

PHONE #                            FAX#     

REPRESENTATIVE:                   

E-MAIL ADDRESS:                    

NAME OF SPOUSE OR FRIEND: 

PLEASE ANSWER THE FOLLOWING FOR EACH ATTENDEE:

1.)    I will attend the Thursday evening cocktail party.

                REPRESENTATIVE: YES  NO            SPOUSE/FRIEND YES  NO

2.)    (OPTIONAL) I will play in the famous I.F.A. Florida Scramble Golf Tournament on Friday morning.

                REPRESENTATIVE: YES  NO            SPOUSE/FRIEND YES  NO

                        HANDICAP                                    HANDICAP

3.)    I will attend the Friday evening I.F.A. banquet as an Honored Guest (Cost does not apply to suppliers/vendor sponsors)

          REPRESENTATIVE: YES  NO            SPOUSE/FRIEND YES  NO